Organization · Type 2 NPI

Park Place Outreach & Counseling Centers, Inc.

Mental Illness Community Based Residential Treatment Facility · Arizona City, AZ

NPI number 1578009759 Active

Practice location

15136 S Avalon Rd
Arizona City, AZ 85123

Call (520) 466-8850 Map

Fax (520) 466-8851

Mailing address

P.o. Box 2779
Arizona City, AZ 85123

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Other mental illness community based residential treatment facility providers in Arizona City

See all in Arizona City →

NPI record

NPI: 1578009759
Entity type: Organization (Type 2)
Issued: Jan 12, 2017
Last updated: Jan 12, 2017
Status: Active
Subpart: Yes of Park Place Outreach & Counseling Centers, Inc.

Other names

<unavail>
Casa de Vida · other name

Authorized official

Mr. Raymond Earnest Linafelter
Executive Director
(520) 466-8850

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1578009759

Park Place Outreach & Counseling Centers, Inc.'s National Provider Identifier is 1578009759, issued on Jan 12, 2017. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Arizona City, AZ. The record was last updated on Jan 12, 2017.